| Tamarack Treatment And Counseling Center, Pllc | |
|
101 N. Boyer Ave Sandpoint ID 83864 | |
| (208) 263-5551 | |
| (208) 255-4476 |
| Full Name | Tamarack Treatment And Counseling Center, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 101 N. Boyer Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Janice Rene Miller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2082635551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamarack Treatment And Counseling Center, Pllc Po Box 985 Sandpoint ID 83864 Ph: (208) 263-5551 | Tamarack Treatment And Counseling Center, Pllc 101 N. Boyer Ave Sandpoint ID 83864 Ph: (208) 263-5551 |
| NPI Number | 1215365523 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 8022541127 |
|---|---|
| Medicare Enrollment ID | O20241028003814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215365523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LCPC-4183 (Idaho) | Primary |
| Provider Name | Janice Rene Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770717621 PECOS PAC ID: 2769915859 Enrollment ID: I20241028003783 |
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